Active NPI
Erica Childress, PA-C
- Physician Assistant
- Greenwood, IN
National Provider Identifier
1588975502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 10001187A
- Practice address
- 362 Meridian Parke LN
Greenwood, IN 46142-9425 - Phone
- (317) 859-3737
- Fax
- (317) 859-3730
- NPI assigned
- Jun 24, 2010
- Last updated
- Mar 24, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 10001187A | IN | Primary |
Addresses
Primary practice location
362 Meridian Parke LN
Greenwood, IN 46142-9425
Mailing address
PO Box 664056
Indianapolis, IN 46266-4056
Phone (317) 859-3737
Other practice location 1
8111 S Emerson Ave
Indianapolis, IN 46237-8601
Phone (131) 752-8814
Other names 1
- Erica Maddux
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | echildress4584@Direct.FranciscanAlliance.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.82 of 100
- Quality
- 91.66
- Improvement activities
- 40
- Cost
- 78.17
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10001187A | IN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana Emergency Solutions LLC | Past | Accepting new patients | |
| St. Francis Medical Group, LLC | Past | Accepting new patients |
Interoperability endpoints
- echildress4584@direct.franciscanalliance.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Indianapolis, IN
- NPI 1770538340
-
- Emergency Medicine Physician
- Indianapolis, IN
- NPI 1255691424
-
- Internal Medicine Physician
- Greenwood, IN
- NPI 1467693135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616544000000",
"number": "1588975502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 664056",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462664056",
"telephone_number": "317-859-3737",
"fax_number": "317-859-3730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "362 MERIDIAN PARKE LN",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461429425",
"telephone_number": "317-859-3737",
"fax_number": "317-859-3730"
}
],
"practiceLocations": [
{
"address_1": "8111 S Emerson Ave",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462378601",
"country_code": "US",
"telephone_number": "131-752-8814",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHILDRESS",
"first_name": "ERICA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-24",
"last_updated": "2021-03-24",
"certification_date": "2021-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IN",
"license": "10001187A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "echildress4584@Direct.FranciscanAlliance.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "8111 S Emerson Ave",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462378601",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ERICA",
"last_name": "MADDUX",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Greenwood, IN
- Melissa Kay Chevalier, MS, BCBA
- Crisanna Chick, RBT
- Victoria K Chilcote, DPT
- Kaelyn Childers
- Linda Kathleen Heiden Childers, LCSW
- Rebecca Pearl Childs, LMHC
- Norma June Chitwood, LMHC
- Jordan Elisabeth Chlebowy, DMD
- CHN JMH Ventures LLC (Stones Crossing Imaging Services)
- CHN JMH Ventures LLC (Stones Crossing PT & Rehabilitation)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.